IL123646A - Remote control catheterization - Google Patents

Remote control catheterization

Info

Publication number
IL123646A
IL123646A IL123646A IL12364698A IL123646A IL 123646 A IL123646 A IL 123646A IL 123646 A IL123646 A IL 123646A IL 12364698 A IL12364698 A IL 12364698A IL 123646 A IL123646 A IL 123646A
Authority
IL
Israel
Prior art keywords
propelling
elongated
propelling device
elongated probe
catheter
Prior art date
Application number
IL123646A
Other versions
IL123646A0 (en
Inventor
Refael Beyar
Dalia Beyar
Original Assignee
Refael Beyar
Dalia Beyar
Corindus Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Refael Beyar, Dalia Beyar, Corindus Ltd filed Critical Refael Beyar
Priority to IL123646A priority Critical patent/IL123646A/en
Publication of IL123646A0 publication Critical patent/IL123646A0/en
Priority to EP99939167A priority patent/EP1061990B1/en
Priority to US09/623,900 priority patent/US6726675B1/en
Priority to DE69919851T priority patent/DE69919851T2/en
Priority to AU32717/99A priority patent/AU3271799A/en
Priority to PCT/IL1999/000136 priority patent/WO1999045994A1/en
Priority to AT99939167T priority patent/ATE274970T1/en
Publication of IL123646A publication Critical patent/IL123646A/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
    • A61M25/0113—Mechanical advancing means, e.g. catheter dispensers

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Hematology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Biophysics (AREA)
  • Pulmonology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Selective Calling Equipment (AREA)
  • Apparatus For Radiation Diagnosis (AREA)
  • Surgical Instruments (AREA)
  • Accommodation For Nursing Or Treatment Tables (AREA)

Abstract

A remote control catheterization system (20) includes a propelling device (28), which controllably inserts a flexible, elongate probe (26) into the body of a patient (22). A control console (34), in communication with the propelling device, includes user controls (38, 40) which are operated by a user of the system remote from the patient to control insertion of the probe into the body by the propelling device.

Description

ιιιιιιιιιιιιιιιιιιιιιιιιιιιιιιιιιιιιιιιι 123646 [7'n I 453347 REMOTE CONTROL CATHETERIZATION DALIA BEYAR 1N 2 C.26910 123646/2 REMOTE CONTROL CATHETERIZATION FIELD OF THE INVENTION The present invention relates generally to invasive medical probes and methods, and specifically to intravascular catheterization and catheterization techniques .
BACKGROUND OF THE INVENTION Catheterization procedures are very commonly performed for diagnosis and treatment of diseases of the heart and vascular system. The catheterization procedure is generally initiated by inserting a guide wire into a blood vessel in the patient's body. The guide wire is then guided to the desired location, most commonly in one of the heart vessels or elsewhere in the vascular system. At this point the catheter is slid over the guide wire into the blood vessel and/or heart. Once the catheter is in the desired position, the guide wire can then be removed, leaving the catheter in location. Alternatively, in some procedures, the catheter is inserted without using a guide wire. The catheter may be used to pass ancillary devices into the body, such as an angioplasty balloon, or to perform other diagnostic or therapeutic procedures .
In order to facilitate the guide wire insertion and the subsequent catheter application, the physician generally performs the procedure with the assistance of a fluoroscope, as is well known in the art. The fluoroscope produces a real-time image showing the continued progress of the guide wire, or the catheter, through the patient's body.
The fluoroscope generates a high level of X-ray radiation, which poses a significant danger to medical personnel exposed thereto, as is well known in the art. In order to provide protection from radiation exposure, the attending medical personnel generally wear a heavy, l 123646/2 cumbersome protective lead garment which covers the entire body and neck, or use various lead shields including transparent glass face and eye shields.
SUMMARY OF THE INVENTION It is an object of some aspects of the present invention to provide apparatus and methods of catheterization that allow medical personnel to be distanced from the vicinity of the fluoroscope and its resultant radiation, thereby reducing radiation exposure of the personnel It is a further object of some aspects of the present invention to provide a mechanism for remote control performance of catheterization procedures.
In preferred embodiments of the present invention, a remote control catheterization system feeds an intravascular catheter into the body of a patient. The system is preferably used to perform substantially all aspects of a catheterization procedure, including insertion of a guide wire in preparation for catheter insertion and therapeutic and/or diagnostic treatments using the catheter. The system is operated by a physician who observes a fluoroscopic image of the procedure on a remote fluoroscope screen, preferably outside the room in which the patient is located, and controls the procedure using a remote control console.
In some preferred embodiments of the present, invention, the physician, inserts a cannula into the patient's blood vessel and inserts a guide wire through the cannula into the body, in a manner known in the art. The proximal portion of the guide wire is fed through a propelling device, which feeds the guide wire into the vessel while providing steering and speed control. The propelling device is controlled by the physician using the remote control console. 123646/2 Once the guide wire has been inserted to a desired location, for example within a coronary artery, the physician passes a catheter over the proximal end of the guide wire. The proximal portion of the catheter is then placed in the propelling device, which feeds the catheter over the wire, similarly under the physician's control using the console. The feeding device may then be used similarly to control the catheter inside the body and to pass ancillary devices, such as an angioplasty balloon, through the catheter.
In some preferred embodiments of the present invention, the propelling device comprises one or more propelling mechanisms, preferably three such mechanisms, one for each of the guide wire, catheter and ancillary device. In one such preferred embodiment, each of the propelling mechanisms comprises two wheels, preferably fabricated from a rigid non-corrosive material, such as PVC. The distance between the wheels is adjustable to the accommodate the width of the guide wire, catheter or ancillary device, as applicable. The wheels are driven by a small motor, as is well known in the art, which is controlled by the physician using the remote control console.
Although it is most convenient to use three separate propelling mechanisms, in an alternative preferred embodiment of the present · invention, the propelling device comprises only one propelling mechanism. The sole propelling .mechanism comprises two adjustable wheels as described above, a motor, and applicable gauges. Once the guide wire has been inserted to a desired position within the body, the guide wire is removed from between the wheels of the propelling mechanism, and the catheter or ancillary device is threaded into the propelling mechanism, as applicable.
In other preferred embodiments of the present invention, the propelling mechanism may comprise a robot 123646/2 arm, or any other suitable manipulation mechanism known in the art.
In preferred embodiments of the present invention, the physician receives feedback, preferably both tactile and visual feedback, indicative of the force needed to insert the guide wire, catheter or ancillary device. This feedback alerts the physician if an obstruction or other obstacle has been encountered. In the preferred embodiment described above, torque gauges are preferably coupled to the motor to measure the reverse force applied to the guide wire, catheter or ancillary device during insertion, and thus provide the feedback. Additionally, a rotor gauge is preferably coupled to the guide wire, catheter or ancillary device to measure and verify its speed of advance.
Preferably, the torque gauges or other force-measuring devices are coupled to a safety mechanism, which halts the insertion if the gauge reaches a predetermined force threshold.
The torque measurement, along with the measured speed, are relayed to the remote console situated outside of the catheterization room. The physician at the console thereby has at his command substantially all the information needed to control the procedure: the fluoroscope display, the reverse force measurement, and the measurement of the advance speed. This information enables the physician to perform the guide wire insertion, as well as catheter insertion and other diagnostic or therapeutic procedures, as applicable, via remote control, substantially without exposure to X-ray radiation.
In some preferred embodiments of the present invention, the remote control console comprises a steering device, preferably a joystick. The speed and direction of motion of the propelling device are controlled by the direction and extent to which the 123646/2 physician displaced the joystick from, its center, "zero" position. Preferably, the reverse force measurement is fed back to the joystick, so that the greater the resistance encountered by the guide wire, catheter or ancillary device, the greater is the force required to displace the joystick.
Although preferred embodiments are described herein with reference, to cardiac catheterization procedures, it will be appreciated that the principles of the present invention may similarly be applied to other medical procedures that are performed using fluoroscopic visualization, for example, non-cardiac catheterization or angioplasty, and other radiological procedures involving the use of catheters under fluoroscopy.
There is therefore provided, in accordance with a preferred embodiment of the present invention, a remote control catheterization system including: a propelling device, which controllably inserts a flexible, elongate probe into the body of a patient; and a control console, in communication with the propelling device, and including user controls which are operated by a user of the system remote from the patient to control insertion of the probe into the body by the propelling device.
Preferably, the propelling device includes wheels which roll against the elongate probe in one direction to advance the elongate probe, and in the reverse direction to retract the elongate probe. Alternately or additionally, the propelling device includes an arm which grasps and pushes the probe to advance it, and grasps and pulls the probe to retract it.
Preferably, the propelling device includes a rotating mechanism, which rotates the probe about a longitudinal axis thereof. Preferably, the rotating mechanism includes rollers which roll against the elongated probe. 123646/2 Preferably the propelling device includes a motor which drives the insertion of the probe.
Preferably, the propelling device includes a force sensor which measures a force applied during insertion of the elongate probe, most preferably, including a torque gauge which measures a torque required to move the elongate probe.
Preferably the control console receives force measurements from the force sensor and provides tactile feedback responsive thereto to the user.
Preferably the propelling device includes a movement sensor for measuring a linear advance of the elongate probe.
Preferably, the system includes a fluoroscope which produces a real-time image showing the progress of the elongate probe in the patient ' s body, which is displayed on the control console. Most preferably, the console includes a display which receives and displays data relating to the propelling device.
Preferably, the user controls includes a joystick for tactile control of the propelling device.
The present invention will be more fully understood from the following detailed description of the preferred embodiments thereof, taken together with the drawings in which: BRIEF DESCRIPTION OF THE DRAWINGS Fig. 1 is a simplified, pictorial illustration of a system for remote control catheterization, in accordance with a preferred embodiment of the present invention; Fig. 2 is a schematic illustration of a catheter propelling device, for use in the system of Fig. 1, in accordance with a preferred embodiment of the present invention; Fig. 3 is a schematic illustration showing details of a catheter propelling mechanism, for use in the 123646/2 propelling device of Fig. 2, in accordance with a preferred embodiment of the present invention; and Fig. 4 is a schematic illustration showing details of a catheter propelling mechanism, in accordance with an alternative embodiment of the present invention. 123646/2 DETAILED DESCRIPTION OF PREFERRED EMBODIMENTS Reference is now made to Fig. 1, which is a simplified, pictorial illustration of a remote control catheterization system 20, in accordance with a preferred embodiment of the present invention. System 20 comprises a guiding catheter 2 6, which is, fed via a cannula 42 into a blood vessel 44 leading to a target location in a vessel or a heart 24 of a patient 22. Preferably, the catheter is fed over a guide wire, which is omitted in Fig. 1 for simplicity but shown in detail in Fig. 2, below.
Catheter 26 is fed through a catheter propelling device 28, and then coupled proximally with a catheter interface 30. As shown in Fig. 1, device 28 may be opened for insertion of the catheter and other elements and, optionally, for manual override of the operation of the device, as described further hereinbelow. Interface 30 may be used to perform various therapeutic and/or diagnostic catheter procedures, such as balloon inflation or injection of contrast media, or any other such catheter-based treatments known in the art. A fluoroscope 32 is used to capture images showing the position of catheter "26 in the patient's body. (For simplicity, the X-ray tube associated with the fluoroscope is not shown in the figure.) Propelling device 28, interface 30 and fluoroscope 32 all communicate with a control console 34. The various elements of system 20 relay operative information to console 34, and receive operative instructions from the console. Preferably, device 28 relays to console 34 force measurements associated with insertion of the catheter and an indication of the distance that the catheter has traveled; interface 30 relays applicable data from the catheter regarding the therapeutic and/or diagnostic procedures being performed; and fluoroscope 32 conveys X-ray images.■ 123646/2 The data are preferably displayed on console 34 via a pair of displays, monitors 36. Preferably, one of monitors 36 displays fluoroscopic images, and the other monitor displays data received from propelling device 28 and interface 30. Alternatively, the data may be presented using dials, meters, or any means known and used in the art.
Console 34 also includes a user-interface peripheral device 38 and a tactile control unit 40. Medical personnel operating system 20 use device 38, preferably a keyboard, to send directional commands, for example to control table and fluoroscope motions, and to operate interface 30 and fluoroscope 32. Control unit 40, preferably a joystick with tactile and speed feedback, as described herein below, sends directional and speed instructions to propelling device 28.
In order to prevent exposure by medical staff to the fluoroscope ' s high levels of radiation, console 34 is preferably located outside of the catheterization room or in an area of the room that is shielded from radiation generated by the fluoroscope X-ray tube. The present invention, via this usage of remote control communication with console 34, thus furnishes the medical staff with all the relevant information, , and all the relevant remote control means, to perform the catheterization operation without danger of radiation exposure.
Alternatively or additionally, console 34, or certain elements thereof, may be in a remote location, even in a different city from the patient, and communicate with the other elements of system 20 over telecommunication channels. For example, in addition to displaying images to the operating staff in a room adjacent to the catheterize operation, the same images can be relayed in parallel to medical colleagues or trainees in locations further away from the catheterization room. In yet another preferred 123646/2 embodiment, the present invention enables the entire catheterization procedure, including actions taken by medical staff in controlling the procedure, to be visually recorded via a visual recording device for postoperative observation or analysis.
Fig. 2 is a schematic illustration showing details of catheter propelling device 28, for use in the system of Fig. 1, in accordance with a preferred embodiment of the present invention. As noted above with reference to Fig. 1, cannula 42 is inserted into blood vessel 44. Preferably a guide wire 4 6 is threaded through cannula 42 into vessel 44. Once guide wire 46 is in ■ a desired position, catheter 26 is slipped over guide wire 46 and guided to a desired position, for example, in one of the chambers of heart 24 or in one of the coronary arteries. Once catheter 26 is in place, guide wire 46 may be withdrawn if desired. An ancillary instrument 48, such as an angioplasty balloon, may be passed through the catheter, into the heart or arteries. The guide wire, catheter and ancillary instrument are themselves substantially similar to devices of these types known in the art. The present invention provides novel apparatus and methods for inserted these devices, as well as other invasive probes and instruments known in the art.
As shown in' Fig. 2, propelling device 28 comprises one or more propelling mechanisms, preferably three such mechanisms 50, 52 and 54. Propelling mechanism 50 provides the feeding force which advances catheter 26 through vessel 44. Propelling mechanism 52 provides feeding force to instrument 48, and propelling mechanism 54 provides feeding force to guide wire 46. The operation of these mechanisms is described in greater detail with reference to Fig. 3, below.
A controller 56 provides drive signals and direction to mechanisms 50, 52 and 54. Additionally, control 56 receives feedback from the mechanisms regarding the 123646/2 insertion force and speed of catheter 26, wire 46 or instrument 48, as applicable, as described in greater detail hereinbelow. Controller 56 is coupled in a closed loop to console 34, conveying to console 34 the force and speed feedback and receiving from console 34 instructions to be passed on to mechanisms 50, 52 and 54.
Although device 28 is preferably driven by controller 56, the medical staff may optionally halt the remote operation of device 28 by controller 56, and may manually override the operation of mechanisms 50, 52 and 54 to insert catheter 26, wire 46, or instrument 48, as applicable.
Fig. 3 is a schematic illustration showing details of mechanism 50, shown in Fig. 2, in accordance with a preferred embodiment of the present invention. Mechanism 50 is described herein by way of example, and it will be understood that mechanisms 52 and 54 operate in a substantially similar manner. Furthermore, although propelling device 28 is shown in Fig. 2 as comprising three mechanisms 50, 52, and 54, for catheter 26, ancillary device 48 and guide wire 46, respectively, a single mechanism such as mechanism 50 could be used, albeit less conveniently, to advance the guide wire, catheter and ancillary device in turn.
Mechanism 50 comprises two wheels 62 and 66, which engage catheter 26 and rotate either in the forward direction, as shown by the arrows in the figure, to advance the catheter through vessel 44, or backward to retract catheter 26. Additionally, mechanism 50 preferably comprises two rollers 63 and 67 located on an axis 90° 'from that of wheels 62 and 66, which engage catheter 26 and rotate it around its longitudinal axis, preferably by at least ±180°, as shown by the arrows in the figure. The distance between wheels 62 and 66, and between 63 and 67, is preferably adjustable to 123646/2 accommodate the width of catheter 26, or of wire 46 or ancillary device 48.
A rotary motor 60, preferably a reversible stepper motor or servo motor, as are known in the art, is coupled to drive wheel 62, preferably via a belt 64. The belt is preferably coupled to motor 60 via a non-slip hub. Wheel 66, located on the opposite side of catheter 26, is preferably free turning, and rotates as driven by the motion of the catheter. In a similar manner, a rotary motor 61 is coupled to drive roller 63 via a belt 65. Roller 67, located on the opposite side of catheter 26, operates similarly to wheel 66.
Upon completion of the catheterization procedure, or whenever it is necessary to move the catheter back proximally during the procedure, the rotation of motor 60 is reversed, creating a clockwise rotation of wheel 62 and belt 64, thereby retracting catheter 26.
The force required to advance or rotate catheter 2 6 is monitored by a torque gauge 68 coupled to motor 60, and by a torque gauge 69 coupled to motor 61, respectively. For example, gauge 68 may measure the electrical current required by motor 60 to advance catheter 26, and translates this current to a measurement of force. The force readouts from gauges 68 and 69 are relayed to controller 56 and from there, preferably, to console 34. Alternatively, other types of force and torque sensors known in the art may also be used. When catheter 26 encounters an obstruction in vessel 44, motor 60 or motor 61 will generally require greater current to achieve forward movement or rotate, respectively. Controller 56 preferably shuts off motor 60 or 61, automatically when the current or other torque indication received by gauge 68 or 69, respectively, reaches a predetermined maximum level.
Although in the preferred embodiment shown in Fig. 3, wheel 62 and roller 63 are driven and monitored by 123646/2 separate, respective motors and controllers, wheel 62 and roller 63 may alternatively be driven by a common motor, with appropriate gearing, and with a single force gauge.
Mechanism 50 preferably provides an additional level of safety by the usage of a movement sensor, such as a rotor gauge 70. Rotor gauge.70 is coupled to a wheel 72 which is placed in contact with catheter 26. Preferably, rotor gauge 70 measures the number of rotations of wheel 72, thereby measuring the actual speed of movement and/or total cumulative advance of catheter 26, independent of motor 60. This information is then relayed to controller 56, which passes the information on to console 34.
As described above with reference to Fig. 1, the medical staff at console 34 are capable of remotely directing propelling device 28, through controller 56, using peripheral device 38 and tactile control unit 40. Controller 56, upon receipt of directions from console 34, changes the current levels fed to motor 60 or 61, thereby changing the speed of motor, as appropriate. Preferably, the torque measurements from torque sensor 68 are fed back to unit 40 as tactile feedback. For example, assuming unit 40 to comprise a joystick, as shown in Fig. 1, the more force needed to advance the catheter, the harder will it be to push the joystick forward to cause the catheter to advance. In addition, the torque and rotation readings, as well as other system parameters, are preferably displayed on one of displays 36, as described above.
Fig. 4 is a schematic illustration showing details of catheter propelling mechanism 50, in accordance with an alternative embodiment of the present invention. In this case, catheter 26 is advanced via a pushing motion and rotated via a twisting motion created by an arm 80, which is driven by a motor unit 82. All safety precautions supplied by torque gauges 68 and 69 and rotor gauge 70 are applicable to this alternate embodiment as 123646/2 well. The movement of arm 80 resembles the action performed by a physician in inserting a catheter by hand. Tactile control unit 40 in this preferred embodiment may also be designed so that the physician's interaction with the control unit is similar to the actions normally taken in advancing a catheter manually.
Although two preferred mechanisms for propelling catheter 26 are presented in Figs. 3 and 4 {or for propelling guide wire 46 or ancillary device 48 as applicable) , other propelling mechanisms may similarly be used. It will be appreciated generally that the preferred embodiments described above are cited by way of example, and the full scope of the invention is limited only by the claims. 123646/3

Claims (11)

1. A remote control catheterization system for coaxially inserting into the vasculature of a patient at least a first elongated probe and a second elongated probe, the system comprising: a propelling device for controllably inserting the elongated probes, comprising at least a first mechanism for propelling the first elongated probe and a second mechanism for propelling the second elongated probe, the propelling mechanisms operating coaxially; a control console, in communication with the propelling device, and comprising user controls which are operated by a user of the system remote from the patient to control insertion of the elongated probes into the vasculature by the propelling device. wherein the propelling device comprises a force sensor which measures a force applied during insertion of the elongated probe, the force sensor comprises a torque gauge which measures a torque required to move the elongated probe.
2. A system according to claim 1, wherein the propelling device comprise wheels which roll against the elongated probes in one direction to advance the elongated probes, and in the reverse direction to retract the elongated probes.
3. A system according to claim 1, wherein the propelling device comprises an arm which grasps and pushes the elongated probe to advance it and grasps and pulls the elongated probe to retract it.
4. A system according to claim 1, wherein the propelling device comprises a rotation mechanism, which rotates the elongated probe about a longitudinal axis thereof.
5. A system according to claim 4, wherein the rotating mechanism comprises rollers which roll against the elongated probe .
6. A system according to claim 1, wherein the propelling device comprises a motor which drives the insertion of the elongated probe .
7. A system according to claim 1, wherein the control console receives force measurements from the force sensor and provides tactile feedback responsive thereto to the user.
8. A system according to claim 1, wherein the propelling device comprises a movement sensor for measuring a linear advance of the elongated probe.
9. A system according to claim 1, wherein the control console comprises a display which receives and displays data relating to the propelling device.
10. A system according to claim 1, wherein the user controls comprise a joystick for tactile control of the propelling device. 123646/3
11. A remote control catheterization system for coaxially inserting into the vasculature of a patient at least a first elongated probe and a second elongated probe, the system comprising: a propelling device for controllably inserting the elongated probes, comprising at least a first mechanism for propelling the first elongated probe and a second .mechanism for propelling the second elongated probe, the propelling mechanisms operating coaxially; a control console, in communication with the propelling device, and comprising user controls which are operated by a user of the system remote from the patient to control insertion of the elongated probes into the vasculature by the propelling device; wherein the system comprises a fluoroscope which produces a real-time image showing the progress of any of the elongated probes in the body of the patient. For the Applicant Pearl Cohen Zedek Latzer Advocates & patent attorneys P-70660-IL
IL123646A 1998-03-11 1998-03-11 Remote control catheterization IL123646A (en)

Priority Applications (7)

Application Number Priority Date Filing Date Title
IL123646A IL123646A (en) 1998-03-11 1998-03-11 Remote control catheterization
EP99939167A EP1061990B1 (en) 1998-03-11 1999-03-09 Remote control catheterization
US09/623,900 US6726675B1 (en) 1998-03-11 1999-03-09 Remote control catheterization
DE69919851T DE69919851T2 (en) 1998-03-11 1999-03-09 REMOTE CATHETERIZATION
AU32717/99A AU3271799A (en) 1998-03-11 1999-03-09 Remote control catheterization
PCT/IL1999/000136 WO1999045994A1 (en) 1998-03-11 1999-03-09 Remote control catheterization
AT99939167T ATE274970T1 (en) 1998-03-11 1999-03-09 REMOTE CONTROLLED CATHETERIZATION

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
IL123646A IL123646A (en) 1998-03-11 1998-03-11 Remote control catheterization

Publications (2)

Publication Number Publication Date
IL123646A0 IL123646A0 (en) 1998-10-30
IL123646A true IL123646A (en) 2010-05-31

Family

ID=11071326

Family Applications (1)

Application Number Title Priority Date Filing Date
IL123646A IL123646A (en) 1998-03-11 1998-03-11 Remote control catheterization

Country Status (7)

Country Link
US (1) US6726675B1 (en)
EP (1) EP1061990B1 (en)
AT (1) ATE274970T1 (en)
AU (1) AU3271799A (en)
DE (1) DE69919851T2 (en)
IL (1) IL123646A (en)
WO (1) WO1999045994A1 (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11213362B2 (en) 2019-11-28 2022-01-04 Microbot Medical Ltd. Device for automatically inserting and manipulating a medical tool into and within a bodily lumen

Families Citing this family (280)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20080177285A1 (en) * 1998-02-24 2008-07-24 Hansen Medical, Inc. Surgical instrument
US7214230B2 (en) * 1998-02-24 2007-05-08 Hansen Medical, Inc. Flexible instrument
US7090683B2 (en) * 1998-02-24 2006-08-15 Hansen Medical, Inc. Flexible instrument
US7789875B2 (en) * 1998-02-24 2010-09-07 Hansen Medical, Inc. Surgical instruments
US7901399B2 (en) * 1998-02-24 2011-03-08 Hansen Medical, Inc. Interchangeable surgical instrument
US7297142B2 (en) * 1998-02-24 2007-11-20 Hansen Medical, Inc. Interchangeable surgical instrument
US8303576B2 (en) * 1998-02-24 2012-11-06 Hansen Medical, Inc. Interchangeable surgical instrument
US8414598B2 (en) 1998-02-24 2013-04-09 Hansen Medical, Inc. Flexible instrument
US7169141B2 (en) 1998-02-24 2007-01-30 Hansen Medical, Inc. Surgical instrument
US7775972B2 (en) * 1998-02-24 2010-08-17 Hansen Medical, Inc. Flexible instrument
US7713190B2 (en) * 1998-02-24 2010-05-11 Hansen Medical, Inc. Flexible instrument
US7758569B2 (en) 1998-02-24 2010-07-20 Hansen Medical, Inc. Interchangeable surgical instrument
EP1176921B1 (en) 1999-05-10 2011-02-23 Hansen Medical, Inc. Surgical instrument
US6626899B2 (en) 1999-06-25 2003-09-30 Nidus Medical, Llc Apparatus and methods for treating tissue
US7819799B2 (en) * 2000-03-16 2010-10-26 Immersion Medical, Inc. System and method for controlling force applied to and manipulation of medical instruments
US7344546B2 (en) * 2000-04-05 2008-03-18 Pathway Medical Technologies Intralumenal material removal using a cutting device for differential cutting
US20030135204A1 (en) 2001-02-15 2003-07-17 Endo Via Medical, Inc. Robotically controlled medical instrument with a flexible section
US8414505B1 (en) * 2001-02-15 2013-04-09 Hansen Medical, Inc. Catheter driver system
US7699835B2 (en) 2001-02-15 2010-04-20 Hansen Medical, Inc. Robotically controlled surgical instruments
US7766894B2 (en) * 2001-02-15 2010-08-03 Hansen Medical, Inc. Coaxial catheter system
US20090182226A1 (en) * 2001-02-15 2009-07-16 Barry Weitzner Catheter tracking system
US7766856B2 (en) * 2001-05-06 2010-08-03 Stereotaxis, Inc. System and methods for advancing a catheter
US7635342B2 (en) * 2001-05-06 2009-12-22 Stereotaxis, Inc. System and methods for medical device advancement and rotation
ES2314062T3 (en) * 2001-05-06 2009-03-16 Stereotaxis, Inc. SYSTEM TO ADVANCE A CATETER.
DK1291034T3 (en) * 2001-09-10 2006-09-25 Thermocore Medical Systems N V Catheter position device
WO2003092498A1 (en) * 2002-05-02 2003-11-13 Medigus Ltd. Entry port for endoscopes and laparoscopes
AU2002312708A1 (en) 2002-06-26 2004-01-19 Endosense S.A. Catheterization method and system
US7769427B2 (en) * 2002-07-16 2010-08-03 Magnetics, Inc. Apparatus and method for catheter guidance control and imaging
US20040176751A1 (en) * 2002-08-14 2004-09-09 Endovia Medical, Inc. Robotic medical instrument system
US7331967B2 (en) * 2002-09-09 2008-02-19 Hansen Medical, Inc. Surgical instrument coupling mechanism
US6872178B2 (en) * 2002-11-18 2005-03-29 Andrew Mark Weinberg Colonoscope apparatus and method
US20040199052A1 (en) 2003-04-01 2004-10-07 Scimed Life Systems, Inc. Endoscopic imaging system
US7591783B2 (en) 2003-04-01 2009-09-22 Boston Scientific Scimed, Inc. Articulation joint for video endoscope
US7578786B2 (en) 2003-04-01 2009-08-25 Boston Scientific Scimed, Inc. Video endoscope
US8118732B2 (en) 2003-04-01 2012-02-21 Boston Scientific Scimed, Inc. Force feedback control system for video endoscope
US20050245789A1 (en) 2003-04-01 2005-11-03 Boston Scientific Scimed, Inc. Fluid manifold for endoscope system
US8007511B2 (en) * 2003-06-06 2011-08-30 Hansen Medical, Inc. Surgical instrument design
US20050004579A1 (en) * 2003-06-27 2005-01-06 Schneider M. Bret Computer-assisted manipulation of catheters and guide wires
US7066879B2 (en) * 2003-07-15 2006-06-27 The Trustees Of Columbia University In The City Of New York Insertable device and system for minimal access procedure
US7280863B2 (en) * 2003-10-20 2007-10-09 Magnetecs, Inc. System and method for radar-assisted catheter guidance and control
JP4451124B2 (en) * 2003-11-28 2010-04-14 オリンパス株式会社 Endoscope treatment instrument insertion / extraction system
JP4472362B2 (en) * 2004-01-16 2010-06-02 オリンパス株式会社 Endoscopic treatment tool
US20050171568A1 (en) * 2004-01-30 2005-08-04 Niall Duffy Catheter and guidewire exchange system with improved catheter design
JP4504696B2 (en) * 2004-02-03 2010-07-14 オリンパス株式会社 Endoscopic treatment tool, endoscope, and endoscope treatment system
US7267663B2 (en) * 2004-02-06 2007-09-11 Cardiac Pacemakers, Inc. Apparatus for guide catheter positioning
WO2005076810A2 (en) * 2004-02-11 2005-08-25 E-Z-Em, Inc. Method system and apparatus for operating a medical injector and diagnostic imaging device
US8046049B2 (en) 2004-02-23 2011-10-25 Biosense Webster, Inc. Robotically guided catheter
JP4593129B2 (en) * 2004-02-26 2010-12-08 オリンパス株式会社 Endoscope
JP2005237659A (en) * 2004-02-26 2005-09-08 Olympus Corp Endoscopic treatment system
WO2005087128A1 (en) 2004-03-05 2005-09-22 Hansen Medical, Inc. Robotic catheter system
US7976539B2 (en) 2004-03-05 2011-07-12 Hansen Medical, Inc. System and method for denaturing and fixing collagenous tissue
US7811294B2 (en) * 2004-03-08 2010-10-12 Mediguide Ltd. Automatic guidewire maneuvering system and method
EP1726252A4 (en) * 2004-03-18 2009-07-29 Olympus Corp Insertion device
JP4727158B2 (en) * 2004-03-23 2011-07-20 オリンパス株式会社 Endoscope system
DE102004015971B4 (en) * 2004-04-01 2006-07-06 Forschungszentrum Karlsruhe Gmbh Remote-controlled cannula guide
JP2005296412A (en) * 2004-04-13 2005-10-27 Olympus Corp Endoscopic treatment apparatus
JP4542362B2 (en) * 2004-04-15 2010-09-15 オリンパス株式会社 Endoscopic treatment system
FR2868954A1 (en) * 2004-04-19 2005-10-21 Cleef Jean Francois Van Motorised traction drive for catheter or other endovascular device has electric motor with speed control and winch for traction cable
JP4500310B2 (en) * 2004-05-14 2010-07-14 オリンパス株式会社 Insertion device and endoscope system
US8755864B2 (en) 2004-05-28 2014-06-17 St. Jude Medical, Atrial Fibrillation Division, Inc. Robotic surgical system and method for diagnostic data mapping
US7632265B2 (en) 2004-05-28 2009-12-15 St. Jude Medical, Atrial Fibrillation Division, Inc. Radio frequency ablation servo catheter and method
US10258285B2 (en) * 2004-05-28 2019-04-16 St. Jude Medical, Atrial Fibrillation Division, Inc. Robotic surgical system and method for automated creation of ablation lesions
US7974674B2 (en) * 2004-05-28 2011-07-05 St. Jude Medical, Atrial Fibrillation Division, Inc. Robotic surgical system and method for surface modeling
US10863945B2 (en) * 2004-05-28 2020-12-15 St. Jude Medical, Atrial Fibrillation Division, Inc. Robotic surgical system with contact sensing feature
US9782130B2 (en) * 2004-05-28 2017-10-10 St. Jude Medical, Atrial Fibrillation Division, Inc. Robotic surgical system
US8528565B2 (en) * 2004-05-28 2013-09-10 St. Jude Medical, Atrial Fibrillation Division, Inc. Robotic surgical system and method for automated therapy delivery
IL162318A (en) * 2004-06-03 2011-07-31 Tal Wenderow Transmission for a remote catheterization system
WO2006018841A2 (en) 2004-08-16 2006-02-23 Navicath Ltd. Image-guided navigation for catheter-based interventions
JP4365865B2 (en) * 2004-09-28 2009-11-18 オリンパス株式会社 Insertion device
US20060184155A1 (en) * 2004-12-31 2006-08-17 Rafael Fernandez-Sein Manipulator and end effector for catheter manufacture
DE102005002461B3 (en) * 2005-01-18 2006-07-06 Martin Dr. Neumann Drive for an endoscope
DE102005044889A1 (en) * 2005-09-20 2007-03-29 Siemens Ag Dental examination and / or treatment work train
FR2882514B1 (en) * 2005-02-28 2008-02-15 Inst Nat Sciences Appliq DEVICE FOR MAINTAINING AND DISPLACING CONTROL IN TRANSLATION OF AN EXTENDED BODY
US7530948B2 (en) 2005-02-28 2009-05-12 University Of Washington Tethered capsule endoscope for Barrett's Esophagus screening
US8075498B2 (en) 2005-03-04 2011-12-13 Endosense Sa Medical apparatus system having optical fiber load sensing capability
WO2006109399A1 (en) * 2005-04-05 2006-10-19 Olympus Corporation Endoscope insertion part and endoscope system
US7828720B2 (en) * 2005-04-20 2010-11-09 Nico Corporation Surgical adapter
US8257302B2 (en) * 2005-05-10 2012-09-04 Corindus, Inc. User interface for remote control catheterization
US8027714B2 (en) * 2005-05-27 2011-09-27 Magnetecs, Inc. Apparatus and method for shaped magnetic field control for catheter, guidance, control, and imaging
US8155910B2 (en) 2005-05-27 2012-04-10 St. Jude Medical, Atrial Fibrillation Divison, Inc. Robotically controlled catheter and method of its calibration
WO2007005976A1 (en) 2005-07-01 2007-01-11 Hansen Medical, Inc. Robotic catheter system
JP4813112B2 (en) 2005-07-08 2011-11-09 オリンパスメディカルシステムズ株式会社 Endoscope device
CA2646846C (en) * 2005-07-11 2014-03-18 Catheter Robotics, Inc. Remotely controlled catheter insertion system
US8894589B2 (en) 2005-08-01 2014-11-25 Endosense Sa Medical apparatus system having optical fiber load sensing capability
EP1928337B1 (en) * 2005-09-29 2012-11-21 Corindus Inc. Apparatus for treatment of hollow organs
WO2007043118A1 (en) * 2005-09-30 2007-04-19 Olympus Medical Systems Corp. Rotary self-propelled endoscope device
WO2007042986A2 (en) 2005-10-11 2007-04-19 Koninklijke Philips Electronics, N.V. 3d tool path planning, simulation and control system
EP1946693B1 (en) * 2005-10-19 2011-04-13 Olympus Corporation Endoscope system
FR2893851B1 (en) 2005-11-30 2008-02-08 Philippe Bencteux CATHETER ROLLER / DEROULER AND ARTERIOGRAPHY SYSTEM EQUIPPED WITH SUCH ROLLER / DEROULEUR
US20070149946A1 (en) * 2005-12-07 2007-06-28 Viswanathan Raju R Advancer system for coaxial medical devices
WO2007080783A1 (en) * 2006-01-13 2007-07-19 Olympus Medical Systems Corp. Rotary self-running endoscope system, program, and method of driving rotary self-running endoscope system
US7869854B2 (en) * 2006-02-23 2011-01-11 Magnetecs, Inc. Apparatus for magnetically deployable catheter with MOSFET sensor and method for mapping and ablation
JP4768494B2 (en) * 2006-03-31 2011-09-07 テルモ株式会社 Diagnostic imaging apparatus and processing method thereof
US8567265B2 (en) 2006-06-09 2013-10-29 Endosense, SA Triaxial fiber optic force sensing catheter
EP4018910A1 (en) * 2006-06-13 2022-06-29 Intuitive Surgical Operations, Inc. Minimally invasive surgical system
JP4994771B2 (en) * 2006-10-06 2012-08-08 オリンパスメディカルシステムズ株式会社 Rotating self-propelled endoscope system
WO2008049088A2 (en) 2006-10-21 2008-04-24 Rollins Aaron M D Guidewire manipulation device
US20090306472A1 (en) * 2007-01-18 2009-12-10 Filipi Charles J Systems and techniques for endoscopic dilation
CA2677343C (en) 2007-02-05 2016-06-21 Boston Scientific Limited Thrombectomy apparatus and method
JP4914735B2 (en) * 2007-02-14 2012-04-11 オリンパスメディカルシステムズ株式会社 Endoscope system for controlling the position of the treatment tool
US20080262480A1 (en) * 2007-02-15 2008-10-23 Stahler Gregory J Instrument assembly for robotic instrument system
US8986197B2 (en) * 2007-02-20 2015-03-24 Olympus Medical Systems Corp. Medical system and endoscope system
WO2014002095A2 (en) 2012-06-26 2014-01-03 Sync-Rx, Ltd. Flow-related image processing in luminal organs
US9968256B2 (en) 2007-03-08 2018-05-15 Sync-Rx Ltd. Automatic identification of a tool
US10716528B2 (en) 2007-03-08 2020-07-21 Sync-Rx, Ltd. Automatic display of previously-acquired endoluminal images
US8700130B2 (en) * 2007-03-08 2014-04-15 Sync-Rx, Ltd. Stepwise advancement of a medical tool
EP2358269B1 (en) * 2007-03-08 2019-04-10 Sync-RX, Ltd. Image processing and tool actuation for medical procedures
US11197651B2 (en) 2007-03-08 2021-12-14 Sync-Rx, Ltd. Identification and presentation of device-to-vessel relative motion
JP5639764B2 (en) * 2007-03-08 2014-12-10 シンク−アールエックス，リミティド Imaging and tools for use with moving organs
US11064964B2 (en) 2007-03-08 2021-07-20 Sync-Rx, Ltd Determining a characteristic of a lumen by measuring velocity of a contrast agent
US9375164B2 (en) 2007-03-08 2016-06-28 Sync-Rx, Ltd. Co-use of endoluminal data and extraluminal imaging
US9629571B2 (en) 2007-03-08 2017-04-25 Sync-Rx, Ltd. Co-use of endoluminal data and extraluminal imaging
US8399871B2 (en) * 2007-03-09 2013-03-19 Corindus Inc. Protected control console apparatuses
US20080249395A1 (en) * 2007-04-06 2008-10-09 Yehoshua Shachar Method and apparatus for controlling catheter positioning and orientation
US20080255545A1 (en) * 2007-04-10 2008-10-16 Mansfield John M Apparatus and method for treating the inside of an eye
US8622935B1 (en) 2007-05-25 2014-01-07 Endosense Sa Elongated surgical manipulator with body position and distal force sensing
US8160690B2 (en) * 2007-06-14 2012-04-17 Hansen Medical, Inc. System and method for determining electrode-tissue contact based on amplitude modulation of sensed signal
US20080312521A1 (en) * 2007-06-14 2008-12-18 Solomon Edward G System and method for determining electrode-tissue contact using phase difference
EP2216068A4 (en) * 2007-11-27 2012-03-21 Ntn Toyo Bearing Co Ltd Drive device, medical device provided with drive device, and training device
US20090171332A1 (en) * 2007-12-27 2009-07-02 Intuitive Surgical, Inc. Medical device with orientable tip for robotically directed laser cutting and biomaterial application
WO2009092059A2 (en) 2008-01-16 2009-07-23 Catheter Robotics, Inc. Remotely controlled catheter insertion system
US9706907B2 (en) * 2008-02-07 2017-07-18 Institute For Cancer Research Remote endoscope handle manipulation
US20110040296A1 (en) * 2008-02-08 2011-02-17 Francisco Javier Arcusa Driving device applicable to a conductor cable for intravenous treatments
US20090209888A1 (en) * 2008-02-18 2009-08-20 Seyed Hessam Khatami Spine Wheel
EP2259740A2 (en) 2008-02-20 2010-12-15 Guided Delivery Systems, Inc. Electrophysiology catheter system
US9161817B2 (en) 2008-03-27 2015-10-20 St. Jude Medical, Atrial Fibrillation Division, Inc. Robotic catheter system
US20090248042A1 (en) * 2008-03-27 2009-10-01 Kirschenman Mark B Model catheter input device
US20090275828A1 (en) * 2008-05-01 2009-11-05 Magnetecs, Inc. Method and apparatus for creating a high resolution map of the electrical and mechanical properties of the heart
WO2009137410A1 (en) 2008-05-06 2009-11-12 Corindus Ltd. Catheter system
JP5334035B2 (en) * 2008-05-29 2013-11-06 Ｎｔｎ株式会社 Coil insertion device
EP2320990B2 (en) * 2008-08-29 2023-05-31 Corindus, Inc. Catheter control system and graphical user interface
WO2010025336A1 (en) * 2008-08-29 2010-03-04 Corindus Ltd. Catheter simulation and assistance system
JP5403785B2 (en) * 2008-10-15 2014-01-29 国立大学法人 名古屋工業大学 Insertion device
US11064903B2 (en) 2008-11-18 2021-07-20 Sync-Rx, Ltd Apparatus and methods for mapping a sequence of images to a roadmap image
US9974509B2 (en) 2008-11-18 2018-05-22 Sync-Rx Ltd. Image super enhancement
US10362962B2 (en) 2008-11-18 2019-07-30 Synx-Rx, Ltd. Accounting for skipped imaging locations during movement of an endoluminal imaging probe
US8855744B2 (en) 2008-11-18 2014-10-07 Sync-Rx, Ltd. Displaying a device within an endoluminal image stack
US9144394B2 (en) 2008-11-18 2015-09-29 Sync-Rx, Ltd. Apparatus and methods for determining a plurality of local calibration factors for an image
US9101286B2 (en) 2008-11-18 2015-08-11 Sync-Rx, Ltd. Apparatus and methods for determining a dimension of a portion of a stack of endoluminal data points
US9095313B2 (en) 2008-11-18 2015-08-04 Sync-Rx, Ltd. Accounting for non-uniform longitudinal motion during movement of an endoluminal imaging probe
US8457714B2 (en) * 2008-11-25 2013-06-04 Magnetecs, Inc. System and method for a catheter impedance seeking device
WO2010068783A1 (en) * 2008-12-12 2010-06-17 Corindus Inc. Remote catheter procedure system
US8926529B2 (en) 2009-02-10 2015-01-06 Vesatek, Llc Method and apparatus for manipulating a surgical guidewire
JP4531129B1 (en) * 2009-03-05 2010-08-25 オリンパスメディカルシステムズ株式会社 Medical equipment
EP4252820A3 (en) * 2009-03-18 2023-11-29 Corindus, Inc. Remote catheter system with steerable catheter
US9254123B2 (en) 2009-04-29 2016-02-09 Hansen Medical, Inc. Flexible and steerable elongate instruments with shape control and support elements
WO2010150697A1 (en) * 2009-06-23 2010-12-29 オリンパスメディカルシステムズ株式会社 Medical treatment system
US9005217B2 (en) 2009-08-12 2015-04-14 Biosense Webster, Inc. Robotic drive for catheter
US8702689B2 (en) * 2009-09-01 2014-04-22 Boston Scientific Scimed, Inc. Systems and methods for twisting an expansion element of a cryoablation system
US8033991B2 (en) * 2009-09-14 2011-10-11 Artann Laboratories Inc. Handgrip for assessment of colonoscope manipulation
US8388518B2 (en) * 2009-09-14 2013-03-05 Artann Laboratories Inc. Simplified handgrip for assessment of colonoscope manipulation
US9962229B2 (en) 2009-10-12 2018-05-08 Corindus, Inc. System and method for navigating a guide wire
EP2488245B1 (en) 2009-10-12 2019-02-20 Corindus, Inc. Catheter system with percutaneous device movement algorithm
EP2921835A1 (en) * 2009-10-14 2015-09-23 National University Corporation Nagoya Institute Of Technology Insertion device, training device, and recording system
US20110091853A1 (en) * 2009-10-20 2011-04-21 Magnetecs, Inc. Method for simulating a catheter guidance system for control, development and training applications
US20110092808A1 (en) * 2009-10-20 2011-04-21 Magnetecs, Inc. Method for acquiring high density mapping data with a catheter guidance system
US20110112396A1 (en) 2009-11-09 2011-05-12 Magnetecs, Inc. System and method for targeting catheter electrodes
JP5770200B2 (en) * 2009-11-12 2015-08-26 コーニンクレッカ フィリップス エヌ ヴェ Steering system and catheter system
JP5775881B2 (en) * 2010-01-15 2015-09-09 イマージョン コーポレーションＩｍｍｅｒｓｉｏｎ Ｃｏｒｐｏｒａｔｉｏｎ System and method for minimally invasive surgical tools with tactile feedback
EP3659661A1 (en) * 2010-03-02 2020-06-03 Corindus Inc. Robotic catheter system with variable drive mechanism
US20130190726A1 (en) * 2010-04-30 2013-07-25 Children's Medical Center Corporation Motion compensating catheter device
EP2566565B1 (en) * 2010-05-05 2017-10-25 Automated Medical Instruments Inc. Anchored cardiac ablation catheter
US20120035596A1 (en) * 2010-08-04 2012-02-09 Tegg Troy T Disposable Drive Interface for Longitudinal Movement of an Elongate Medical Device
US9833293B2 (en) 2010-09-17 2017-12-05 Corindus, Inc. Robotic catheter system
US8827948B2 (en) 2010-09-17 2014-09-09 Hansen Medical, Inc. Steerable catheters
US20120191083A1 (en) 2011-01-20 2012-07-26 Hansen Medical, Inc. System and method for endoluminal and translumenal therapy
EP2497521A1 (en) * 2011-03-10 2012-09-12 ECP Entwicklungsgesellschaft mbH Push device for axial insertion of a string-shaped, flexible body
WO2012129374A1 (en) 2011-03-22 2012-09-27 Corindus, Inc. Robotic catheter system including imaging system control
WO2012142588A1 (en) 2011-04-14 2012-10-18 Endosense S.A. Compact force sensor for catheters
US8366685B2 (en) 2011-04-26 2013-02-05 Creative Vascular, Llc Systems and methods for phlebotomy through a peripheral IV catheter
US10076272B2 (en) 2011-04-26 2018-09-18 Velano Vascular, Inc. Systems and methods for phlebotomy through a peripheral IV catheter
JP6099640B2 (en) 2011-06-23 2017-03-22 シンク−アールエックス，リミティド Lumen background sharpening
US9161759B2 (en) * 2011-06-24 2015-10-20 Covidien Lp Method and apparatus for storage and/or introduction of anatomical implant
US20130030363A1 (en) 2011-07-29 2013-01-31 Hansen Medical, Inc. Systems and methods utilizing shape sensing fibers
US10327790B2 (en) 2011-08-05 2019-06-25 Route 92 Medical, Inc. Methods and systems for treatment of acute ischemic stroke
US20130035537A1 (en) * 2011-08-05 2013-02-07 Wallace Daniel T Robotic systems and methods for treating tissue
AU2012298667A1 (en) * 2011-08-25 2014-03-06 The Johns Hopkins University Endoscope manipulation adapter
US9694158B2 (en) * 2011-10-21 2017-07-04 Ahmad Mohamad Slim Torque for incrementally advancing a catheter during right heart catheterization
JP6202759B2 (en) 2012-02-02 2017-09-27 トランセンテリクス・サージカル、インク Surgical system with multiple mechanized treatment instruments
US20130317519A1 (en) 2012-05-25 2013-11-28 Hansen Medical, Inc. Low friction instrument driver interface for robotic systems
US20140066710A1 (en) * 2012-06-19 2014-03-06 University Of Iowa Research Foundation Devices and methods for intraoperative control of endoscopic imaging
US9345859B2 (en) 2012-09-06 2016-05-24 Corindus, Inc. Hemostasis valve and system for guide catheter control
CN102824214A (en) * 2012-09-11 2012-12-19 邹英华 Radio frequency conduit capable of fully closing blood vessel and radio frequency instrument thereof
US20140148673A1 (en) 2012-11-28 2014-05-29 Hansen Medical, Inc. Method of anchoring pullwire directly articulatable region in catheter
EP3610914A1 (en) * 2012-12-31 2020-02-19 Clearstream Technologies Limited Counting apparatus for use in interventional procedures
US9533121B2 (en) 2013-02-26 2017-01-03 Catheter Precision, Inc. Components and methods for accommodating guidewire catheters on a catheter controller system
FR3002852B1 (en) * 2013-03-07 2016-04-01 Robocath MEDICAL MEMBER TRAINING MODULE EXTENDED
US9668814B2 (en) * 2013-03-07 2017-06-06 Hansen Medical, Inc. Infinitely rotatable tool with finite rotating drive shafts
US9532840B2 (en) 2013-03-08 2017-01-03 Hansen Medical, Inc. Slider control of catheters and wires
US9057600B2 (en) 2013-03-13 2015-06-16 Hansen Medical, Inc. Reducing incremental measurement sensor error
US9566414B2 (en) 2013-03-13 2017-02-14 Hansen Medical, Inc. Integrated catheter and guide wire controller
US9498601B2 (en) 2013-03-14 2016-11-22 Hansen Medical, Inc. Catheter tension sensing
US9173713B2 (en) 2013-03-14 2015-11-03 Hansen Medical, Inc. Torque-based catheter articulation
US9326822B2 (en) * 2013-03-14 2016-05-03 Hansen Medical, Inc. Active drives for robotic catheter manipulators
US20140277334A1 (en) 2013-03-14 2014-09-18 Hansen Medical, Inc. Active drives for robotic catheter manipulators
US11213363B2 (en) 2013-03-14 2022-01-04 Auris Health, Inc. Catheter tension sensing
US9271663B2 (en) 2013-03-15 2016-03-01 Hansen Medical, Inc. Flexible instrument localization from both remote and elongation sensors
US9498291B2 (en) 2013-03-15 2016-11-22 Hansen Medical, Inc. Touch-free catheter user interface controller
US10864629B2 (en) 2013-03-15 2020-12-15 Corindus, Inc. System and method for controlling a position of an articulated robotic arm
US9070486B2 (en) 2013-03-15 2015-06-30 Corindus Inc. Radiation shielding cockpit carrying an articulated robotic arm
US9283046B2 (en) 2013-03-15 2016-03-15 Hansen Medical, Inc. User interface for active drive apparatus with finite range of motion
US9549783B2 (en) * 2013-03-15 2017-01-24 Corindus, Inc. Catheter system with magnetic coupling
US20140276936A1 (en) 2013-03-15 2014-09-18 Hansen Medical, Inc. Active drive mechanism for simultaneous rotation and translation
US10376672B2 (en) 2013-03-15 2019-08-13 Auris Health, Inc. Catheter insertion system and method of fabrication
US9408669B2 (en) 2013-03-15 2016-08-09 Hansen Medical, Inc. Active drive mechanism with finite range of motion
WO2014143746A2 (en) * 2013-03-15 2014-09-18 Corindus, Inc. Guide wire or working catheter with modified drive surface
US9629595B2 (en) 2013-03-15 2017-04-25 Hansen Medical, Inc. Systems and methods for localizing, tracking and/or controlling medical instruments
US20140276647A1 (en) 2013-03-15 2014-09-18 Hansen Medical, Inc. Vascular remote catheter manipulator
US10849702B2 (en) 2013-03-15 2020-12-01 Auris Health, Inc. User input devices for controlling manipulation of guidewires and catheters
US20140276394A1 (en) 2013-03-15 2014-09-18 Hansen Medical, Inc. Input device for controlling a catheter
US9014851B2 (en) 2013-03-15 2015-04-21 Hansen Medical, Inc. Systems and methods for tracking robotically controlled medical instruments
US9452018B2 (en) * 2013-03-15 2016-09-27 Hansen Medical, Inc. Rotational support for an elongate member
US9943958B2 (en) 2013-03-15 2018-04-17 Corindus, Inc. System and method for controlling a position of an articulated robotic arm
US9814864B2 (en) * 2013-05-17 2017-11-14 Covidien Lp Torque apparatus for use with a guidewire
US11114918B2 (en) 2013-06-26 2021-09-07 Corindus, Inc. Differential drive
US9993614B2 (en) 2013-08-27 2018-06-12 Catheter Precision, Inc. Components for multiple axis control of a catheter in a catheter positioning system
US9724493B2 (en) 2013-08-27 2017-08-08 Catheter Precision, Inc. Components and methods for balancing a catheter controller system with a counterweight
US9999751B2 (en) 2013-09-06 2018-06-19 Catheter Precision, Inc. Adjustable nose cone for a catheter positioning system
US9750577B2 (en) 2013-09-06 2017-09-05 Catheter Precision, Inc. Single hand operated remote controller for remote catheter positioning system
US9700698B2 (en) 2013-09-27 2017-07-11 Catheter Precision, Inc. Components and methods for a catheter positioning system with a spreader and track
US9795764B2 (en) 2013-09-27 2017-10-24 Catheter Precision, Inc. Remote catheter positioning system with hoop drive assembly
CN105939647B (en) 2013-10-24 2020-01-21 奥瑞斯健康公司 Robotically-assisted endoluminal surgical systems and related methods
US11129962B2 (en) 2013-11-26 2021-09-28 Biosense Webster (Israel) Ltd. Robotic assister for catheter insertion
US9265512B2 (en) 2013-12-23 2016-02-23 Silk Road Medical, Inc. Transcarotid neurovascular catheter
US10046140B2 (en) 2014-04-21 2018-08-14 Hansen Medical, Inc. Devices, systems, and methods for controlling active drive systems
US10569052B2 (en) 2014-05-15 2020-02-25 Auris Health, Inc. Anti-buckling mechanisms for catheters
WO2015198330A1 (en) * 2014-06-26 2015-12-30 Taryag Medical Ltd. Remote control system and method for use in intraluminally or intravascularly located operations
US9561083B2 (en) 2014-07-01 2017-02-07 Auris Surgical Robotics, Inc. Articulating flexible endoscopic tool with roll capabilities
WO2016090270A1 (en) * 2014-12-05 2016-06-09 Corindus, Inc. System and method for navigating a guide wire
WO2016097926A1 (en) 2014-12-16 2016-06-23 Koninklijke Philips N.V. Remote robotic actuation of a transeopagel echocardiographcy probe
CA2983072A1 (en) 2015-02-04 2016-08-11 Route 92 Medical, Inc. Rapid aspiration thrombectomy system and method
US11065019B1 (en) 2015-02-04 2021-07-20 Route 92 Medical, Inc. Aspiration catheter systems and methods of use
CN107921243B (en) 2015-08-12 2021-03-09 维萨泰克有限公司 Systems and methods for operating elongate medical devices
US10561440B2 (en) 2015-09-03 2020-02-18 Vesatek, Llc Systems and methods for manipulating medical devices
EP3346899B1 (en) 2015-09-09 2022-11-09 Auris Health, Inc. Instrument device manipulator for a surgical robotics system
US9949749B2 (en) 2015-10-30 2018-04-24 Auris Surgical Robotics, Inc. Object capture with a basket
US9955986B2 (en) 2015-10-30 2018-05-01 Auris Surgical Robotics, Inc. Basket apparatus
US10639108B2 (en) 2015-10-30 2020-05-05 Auris Health, Inc. Process for percutaneous operations
FR3044541B1 (en) 2015-12-07 2017-12-29 Robocath ROBOTISE MODULE OF SOFT MEDICAL MEDICAL TRAINING
US10226263B2 (en) 2015-12-23 2019-03-12 Incuvate, Llc Aspiration monitoring system and method
WO2017118949A1 (en) 2016-01-07 2017-07-13 St. Jude Medical International Holding S.À R.L. Medical device with multi-core fiber for optical sensing
US10454347B2 (en) 2016-04-29 2019-10-22 Auris Health, Inc. Compact height torque sensing articulation axis assembly
US10245112B2 (en) * 2016-06-27 2019-04-02 Corindus, Inc. Interlocking system and method for joysticks in a catheter procedure system
US10463439B2 (en) 2016-08-26 2019-11-05 Auris Health, Inc. Steerable catheter with shaft load distributions
US11241559B2 (en) 2016-08-29 2022-02-08 Auris Health, Inc. Active drive for guidewire manipulation
WO2018044306A1 (en) 2016-08-31 2018-03-08 Auris Surgical Robotics, Inc. Length conservative surgical instrument
US20180099124A1 (en) * 2016-10-06 2018-04-12 Medtronic Vascular, Inc. System and method for crossing a native heart valve with a guidewire
US10543048B2 (en) 2016-12-28 2020-01-28 Auris Health, Inc. Flexible instrument insertion using an adaptive insertion force threshold
US10244926B2 (en) 2016-12-28 2019-04-02 Auris Health, Inc. Detecting endolumenal buckling of flexible instruments
EP4134120A1 (en) 2017-01-10 2023-02-15 Route 92 Medical, Inc. Aspiration catheter systems
CA3052213A1 (en) 2017-03-21 2018-09-27 Velano Vascular, Inc. Devices and methods for fluid transfer through a placed peripheral intravenous catheter
EP4059556A1 (en) * 2017-03-21 2022-09-21 Velano Vascular, Inc. Methods for controlling catheter device size
US11026758B2 (en) 2017-06-28 2021-06-08 Auris Health, Inc. Medical robotics systems implementing axis constraints during actuation of one or more motorized joints
US10939805B2 (en) * 2017-09-25 2021-03-09 Broncus Medical Inc. Medical appliance for controlling medical device through catheter sheath based on pneumatic action
US10974034B2 (en) * 2017-12-11 2021-04-13 Acclarent, Inc. Force measurement instrument for sinuplasty procedure
JP7080986B2 (en) 2017-12-11 2022-06-06 オーリス ヘルス インコーポレイテッド Systems and methods for instrument-based insertion architectures
US20190175887A1 (en) * 2017-12-13 2019-06-13 Acclarent, Inc. Dilation instrument with proximally located force sensor
US11510736B2 (en) 2017-12-14 2022-11-29 Auris Health, Inc. System and method for estimating instrument location
EP3740150A4 (en) 2018-01-17 2021-11-03 Auris Health, Inc. Surgical robotics systems with improved robotic arms
CN112423824B (en) 2018-05-17 2023-02-21 92号医疗公司 Aspiration catheter system and method of use
CN118116571A (en) * 2018-05-18 2024-05-31 科林达斯公司 Remote communication and control system for robotic intervention procedures
JP7366943B2 (en) 2018-06-27 2023-10-23 オーリス ヘルス インコーポレイテッド Alignment and mounting system for medical devices
US11678905B2 (en) 2018-07-19 2023-06-20 Walk Vascular, Llc Systems and methods for removal of blood and thrombotic material
EP3856001A4 (en) 2018-09-28 2022-06-22 Auris Health, Inc. Devices, systems, and methods for manually and robotically driving medical instruments
EP3908224A4 (en) 2019-03-22 2022-10-19 Auris Health, Inc. Systems and methods for aligning inputs on medical instruments
WO2020225839A1 (en) * 2019-05-08 2020-11-12 Guido Danieli Opto-haptic system to measure and represent forces opposing catheter or guide wire penetration into the vascular system for robots for endovascular surgery
IT201900006657A1 (en) * 2019-05-08 2020-11-08 Guido Danieli Endovascular surgery robot equipped with an opto-haptic system to measure and represent the forces that oppose the advancement of a catheter or guide within the endovascular system
CN116115883A (en) 2019-07-19 2023-05-16 科林达斯公司 Load sensing of elongate medical devices in robotic actuation
US11896330B2 (en) 2019-08-15 2024-02-13 Auris Health, Inc. Robotic medical system having multiple medical instruments
US20210045824A1 (en) 2019-08-15 2021-02-18 Auris Health, Inc. Axial motion drive devices, systems, and methods for a robotic medical system
US11207498B2 (en) 2019-08-20 2021-12-28 Velano Vascular, Inc. Fluid transfer devices with extended length catheters and methods of using the same
CN110339457B (en) * 2019-08-23 2023-09-22 南通市第一人民医院 Pusher for cardiovascular and thoracic vascular surgical intubation and use method thereof
US11737845B2 (en) 2019-09-30 2023-08-29 Auris Inc. Medical instrument with a capstan
US11950872B2 (en) 2019-12-31 2024-04-09 Auris Health, Inc. Dynamic pulley system
KR20220123269A (en) 2019-12-31 2022-09-06 아우리스 헬스, 인코포레이티드 Advanced basket drive mode
DE102020211999B4 (en) 2020-09-24 2024-09-26 Siemens Healthineers Ag Device for moving a medical object and method for providing a signal
EP4079366A1 (en) * 2021-04-19 2022-10-26 Microbot Medical Ltd. Device for automatically inserting and manipulating a medical tool into and within a bodily lumen
IL292274B2 (en) * 2021-04-19 2023-07-01 Microbot Medical Ltd Device for automatically inserting and manipulating a medical tool into and within a bodily lumen
CA3215568A1 (en) * 2021-04-19 2022-10-27 Simon Sharon Compact robotic device and assemblies for manipulation of elongate surgical tools
DE102021205547A1 (en) 2021-05-31 2022-12-01 Fraunhofer-Gesellschaft zur Förderung der angewandten Forschung eingetragener Verein Clamp actuator, moving mechanism and method for moving an elongate object

Family Cites Families (25)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
SU279814A1 (en) 1968-12-08 1975-07-25 Intracavitary Radiotherapy Apparatus
DE2856439A1 (en) 1978-12-28 1980-07-17 Wolfgang Dr Med Woeppel X=ray appts. for angiography with automatic contrast fluid injection - is coordinated with longitudinal movement of patient table and film changer and has punched card coordination system for x=ray tube movement
SU992067A1 (en) 1981-03-30 1983-01-30 Предприятие П/Я Г-4158 Drive of injector for angiography
US5042980A (en) 1989-05-26 1991-08-27 C. R. Bard, Inc. Optical fiber diffusion tip for uniform illumination
US5476100A (en) * 1994-07-07 1995-12-19 Guided Medical Systems, Inc. Catheter steerable by directional jets with remotely controlled closures
CA2078295C (en) 1991-08-05 1995-11-21 John Michael Putman Endoscope stabilizer
EP0531081A1 (en) 1991-09-03 1993-03-10 General Electric Company Tracking system to follow the position and orientation of a device with radiofrequency fields
US5741271A (en) 1991-11-05 1998-04-21 Nakao; Naomi L. Surgical retrieval assembly and associated method
US5396880A (en) * 1992-04-08 1995-03-14 Danek Medical, Inc. Endoscope for direct visualization of the spine and epidural space
US5709661A (en) 1992-04-14 1998-01-20 Endo Sonics Europe B.V. Electronic catheter displacement sensor
AT399647B (en) * 1992-07-31 1995-06-26 Truppe Michael ARRANGEMENT FOR DISPLAYING THE INTERIOR OF BODIES
US5524180A (en) * 1992-08-10 1996-06-04 Computer Motion, Inc. Automated endoscope system for optimal positioning
DE4233323A1 (en) 1992-10-05 1994-04-07 Wolfgang Daum Sense-of-touch imitator for minimal invasive surgery - has elastic tubes on surgeon's fingers with measurement conductors leading to capacitive press. transducers
DE4244990C2 (en) * 1992-12-15 2002-03-14 Stm Medtech Starnberg Device for moving an endoscope shaft along a channel-like cavity
US5423321A (en) 1993-02-11 1995-06-13 Fontenot; Mark G. Detection of anatomic passages using infrared emitting catheter
DE4320962C2 (en) * 1993-06-24 1997-04-17 Osypka Peter Catheter made of a flexible plastic tube
WO1995002233A1 (en) 1993-07-06 1995-01-19 Cybernet Systems Corporation Method and system for simulating medical procedures including virtual reality and control method and system for use therein
US5540649A (en) 1993-10-08 1996-07-30 Leonard Medical, Inc. Positioner for medical instruments
US5779623A (en) * 1993-10-08 1998-07-14 Leonard Medical, Inc. Positioner for medical instruments
JP3540362B2 (en) * 1994-06-14 2004-07-07 オリンパス株式会社 Surgical manipulator control system and control method
JPH07184923A (en) 1993-12-28 1995-07-25 Hitachi Ltd Remote precise surgical operation supporting device
US5492131A (en) 1994-09-06 1996-02-20 Guided Medical Systems, Inc. Servo-catheter
BR7500134U (en) 1995-01-12 1997-04-01 Hwang Chin Rong Specific complement to the single-outlet vascular catheterization device
US5728044A (en) * 1995-03-10 1998-03-17 Shan; Yansong Sensor device for spacial imaging of endoscopes
DE29808180U1 (en) * 1998-05-06 1998-07-23 STM Medizintechnik Starnberg GmbH, 86947 Weil Drive device for slip hose system

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11213362B2 (en) 2019-11-28 2022-01-04 Microbot Medical Ltd. Device for automatically inserting and manipulating a medical tool into and within a bodily lumen
US11241291B2 (en) 2019-11-28 2022-02-08 Microbot Medical Ltd. Modular robotic system for driving movement of surgical tools
US11291515B2 (en) 2019-11-28 2022-04-05 Microbot Medical Ltd. Device for automatically inserting and manipulating a medical tool into and within a bodily lumen
US12102290B2 (en) 2019-11-28 2024-10-01 Microbot Medical Ltd. Device for automatically inserting and manipulating a medical tool into and within a bodily lumen

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US6726675B1 (en) 2004-04-27
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AU3271799A (en) 1999-09-27
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WO1999045994A1 (en) 1999-09-16
EP1061990A1 (en) 2000-12-27

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